CN201519351U - Multifunctional machine for air tube with convenient freehand insertion - Google Patents

Multifunctional machine for air tube with convenient freehand insertion Download PDF

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Publication number
CN201519351U
CN201519351U CN2009202364825U CN200920236482U CN201519351U CN 201519351 U CN201519351 U CN 201519351U CN 2009202364825 U CN2009202364825 U CN 2009202364825U CN 200920236482 U CN200920236482 U CN 200920236482U CN 201519351 U CN201519351 U CN 201519351U
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CN
China
Prior art keywords
trachea
laryngeal mask
convenient
conduit
hand
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Expired - Fee Related
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CN2009202364825U
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Chinese (zh)
Inventor
柯以铨
王建奇
许平
金法
冯常森
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Southern Medical University
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Southern Medical University
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Priority to CN2009202364825U priority Critical patent/CN201519351U/en
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Publication of CN201519351U publication Critical patent/CN201519351U/en
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Expired - Fee Related legal-status Critical Current

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Abstract

The utility model discloses a multifunctional machine for an air tube with convenient freehand insertion. The multifunctional machine is characterized in that the machine comprises a first guide tube (5) and a second guide tube (9), wherein a standard connector (1) capable of being connected with a breathing machine is formed at one end of the first guide tube (5); a laryngeal mask (4) in the shape of half a peach pit formed when an annular part (4-1) is inflated is arranged at the head part of the other end of the first guide tube (5); the second guide tube (9) continuously extends and passes through the edge of the annular part (4-1) on the laryngeal mask (4); a spherical cuff (3) is arranged in a position close to a pointed end; and two inflatable tubes (10) are communicated with the annular part (4-1) of the laryngeal mask (4) and the spherical cuff (3). The multifunctional machine provided by the utility model can carry out the freehand insertion of the tube without the aid of video machines, and meanwhile realize the field first aids of establishing reliable air passages and preventing aspiration of countercurrent things in a stomach.

Description

A kind ofly be convenient to the free-hand trachea multi-functional apparatus of assigning
Technical field
This utility model relates to the apparatus that influences the patient respiration system with gas treating process, is specifically related to the trachea apparatus.
Background technology
In the prior art, keep the unobstructed apparatus commonly used of dyspnea serious symptom person's upper respiratory tract to mainly contain trachea intubate and laryngeal mask.
Clinically Chang Yong trachea with intubate mainly by a breather, be located near the sphere of breather tip cover capsule and the inflatable cover that is communicated with sphere cover capsule and form.During use sphere is overlapped capsule and be full of air, utilize of the trachea oral area sealing of spherical cover capsule, realize artificial oxygen supply breathing the patient.Because people's trachea is in the same place with esophagus is adjacent, and the glottis concealment is behind epiglottis, make tracheal intubation become very difficult, must be by means of the video apparatus, therefore as laryngoscope, thoracoscope etc., seriously limited under the situation of trachea and the special medical professional of shortage simple and crude in condition and used with intubate.In addition, the depth of insertion also is good at controlling, and conduit inserts and can be strayed in the laterobronchus too deeply, causes hypoventilation, anoxia or postoperative pulmonary atelectasis; Conduit inserts when too shallow, and due to illness people's position change and accident is deviate from causes serious unexpected the generation.Also have a bit to be exactly, the patient that need practice artificial respiration is some critically ill patients that need rescue mostly, and its glossoptosis or because of coughing and swallowing reflex difference or disappearance, vomitus and expectorant are very easily choked and caused acutely to choke into nasal cavity and cough.
Existing laryngeal mask comprises a breather, and the head of this breather is provided with an inflatable cover that is communicated with it, and described inflatable cover is provided with a gas tube.During use inflatable cover is full of air, utilizes throat and the oral cavity isolation of inflatable cover, realize artificial oxygen supply breathing the patient.Because inflatable cover is in the patient's that places the oral cavity, and is therefore convenient relatively than tracheal intubation.But this operation can only be opened the laggard line operate in patient oral cavity at the laryngoscope and the gag of special use by professional anaesthetist.For the patient of critical stupor, patient often closes ability to speak, and the oral cavity is full of vomitus, and the scene there is no the medical professional, therefore, shouts cover and can't in time be applied to the critical patient being badly in need of rescuing.The vomitus that contains gastric acid that spues in patient's stomach of comatose state, counter flow thing, and courageous and upright liquid or expectorant very easily suck pulmonary, stop up alveolar or bronchus etc., cause the whole body anoxia and increase the weight of conditions of patients.
This shows that during outdoor salvage at scene critical patient, being badly in need of both can be free-hand by inserting, and can inhale the anti-trachea apparatus that flows thing of expectorant and gastric again.
Summary of the invention
In view of the existing in prior technology deficiency, the purpose of this invention is to provide a kind of free-hand blind slotting unobstructed multi-functional apparatus of guarantee patient respiration of non-medical professional of being convenient to.
The present invention realizes that the technical scheme of above-mentioned purpose is:
A kind ofly be convenient to the free-hand trachea multi-functional apparatus of assigning, it is characterized in that this apparatus comprises first conduit and second conduit, wherein, one of first conduit is provided with the standard interface that can be connected with respirator, and the head of other end forms the laryngeal mask of half Semen Persicae shape when being provided with the annulus inflation; Second conduit continue to extend and on described laryngeal mask the edge of annulus pass, be provided with spherical cover capsule near the tip place; Two gas tubes are communicated with the annulus and the spherical cover capsule of laryngeal mask respectively.
Multi-functional apparatus described in the utility model also comprises a gag, this gag is one section and is the fairshaped body of shark head, be provided with the passage that can free in and out after described laryngeal mask loses heart in it, its outer middle part is provided with group limit, and the upper lip of its oral area extends to form the ligule guided plate that coincide with last volume forward.Above-mentioned gag removes the effect with common gag, can prevent the patient sting flat or break by the teeth first conduit and second conduit outside, also has following outstanding effect: 1, in the process of opening, described group is convenient on the limit the free-hand firmly propelling of doctor, after inserting the oral cavity, described group limit is retained in outside the tooth can limit the degree of depth that gag enters; 2, the ligule guided plate can extend to aditus laryngis along last volume, both can utilize its mouth that closes of opening coma patient, and patient's glottis is further appeared, and is convenient to the doctor and carries out the intubate operation.
Multi-functional apparatus described in the utility model, wherein said group is respectively equipped with a side opening in the both sides that are the fairshaped body of shark head on the limit, connect rope or belt whole apparatus binding is fixed on patient head so that be, avoid due to illness people's position change and cause whole apparatus accident to be deviate from, cause serious contingency.
Multi-functional apparatus described in the utility model, the overhanging end of wherein said two gas tubes can be established a check valve that can cooperate with syringe respectively, so that with syringe to respectively to described laryngeal mask and spherical sleeve bag gas-filling, also can establish a hand-pinch type inflator pump respectively, so that under the condition that lacks the inflation apparatus, respectively to described laryngeal mask and spherical sleeve bag gas-filling.When described gas tube overhanging end is provided with check valve, also can goes here and there between described check valve and the gas tube and establish a ballonet, so that touch the height of perception inner gas pressure with hands.
Multi-functional apparatus described in the utility model, wherein said laryngeal mask and common be that the inflatable cover structure of laryngeal mask is basic identical, it is become the annulus of hollow and closely covered described annulus one side by inflation is that the back is formed, and just forms the curved surface of half Semen Persicae shape when described annulus inflation; Described first conduit passes through the space in described back and the described annulus internal diameter, and described second conduit passes through the space of described back in described annulus internal diameter and passed by the edge of described annulus.
Multi-functional apparatus described in the utility model, wherein, though the set of described first conduit and the described laryngeal mask of its head and the gas tube that is communicated with laryngeal mask is equivalent to existing laryngeal mask, though described second conduit is equivalent to existing trachea intubate with the set of the gas tube that overlaps capsule near the sphere at its tip place and be communicated with sphere cover capsule, but, the organic assembling of the two has then been finished the two can't finishing separately of task, promptly, being equivalent to is not having the auxiliary blind next time slotting trachea and the stomach tube of other visual apparatus, and its principle is as described below.Because second conduit continue to extend and pass through the edge of the annulus of laryngeal mask, therefore there be not the down auxiliary of other visual apparatus, second conduit might insert trachea also might insert esophagus, and no matter described second conduit inserts trachea or esophagus, and described laryngeal mask all can be with whole aditus laryngis sealing.When second conduit inserts trachea, the set sphere cover capsule of its head can be with the ferrule of trachea, trachea and esophagus is isolated, this moment, described second conduit promptly was equivalent to conventional trachea intubate, described first conduit can link to each other with esophagus by pharyngeal, and the gastric reflux thing can pass through first catheter drainage; When second conduit inserts esophagus, the set sphere cover capsule of its head can seal aditus oesophagi, esophagus and trachea is isolated, this moment, described second conduit directly communicated with stomach by esophagus, direct drain gastric reflux thing, described first conduit can communicate with trachea by pharyngeal after with airbag aeration, sets up effective respiration channel.As seen, multi-functional apparatus described in the utility model can carry out the intubate operation by the layman down ignoring the auxiliary of apparatus, and effective respiration channel is set up in realization fast rapidly, prevents that gastric reflux thing mistake from inhaling the further damage that patient is caused.
Description of drawings
Fig. 1 is the structural representation of a specific embodiment of multi-functional apparatus described in the utility model, and the arrow among the figure is represented the assembly direction of gag 2.
Fig. 2 is laryngeal mask partial structurtes sketch map (centrage along first conduit 5 and second conduit 9 is analysed and observe amplification) in embodiment illustrated in fig. 1.
Fig. 3 is the structural representation of split shed device embodiment illustrated in fig. 1, and wherein, Fig. 3 (a) is a front view,
Fig. 3 (b) is a right view, and Fig. 3 (c) upward view, Fig. 3 (d) are the B-B cutaway view of Fig. 1.
Fig. 4 is the structural representation of a specific embodiment of gas tube described in the utility model.
Fig. 5 is a kind of user mode figure embodiment illustrated in fig. 1.
Fig. 6 is another kind of user mode figure embodiment illustrated in fig. 1.
The specific embodiment
For the ease of expressing the structure and the shape of laryngeal mask, laryngeal mask shown in Fig. 14 and spherical cover capsule 3 are state behind the inflation.Referring to Fig. 1 and Fig. 2, laryngeal mask 4 with common be that the structure of inflatable cover of laryngeal mask is basic identical, the back 4-2 that it becomes the annulus 4-1 of hollow by inflation and closely covers described annulus 4-1 one side forms, and just forms the curved surface of half Semen Persicae shape when described annulus 4-1 inflation.First conduit 5 and second conduit 9 pass through back 4-2 by the oblique upper of the annulus 4-1 major part of half Semen Persicae shape side by side, and wherein, the mouth of pipe of first conduit 5 and back 4-2 fuse, and endoporus is communicated with space 4-3 in the annulus 4-1 internal diameter; Second conduit 9 passes through follow-up the reneing of back 4-2 of laryngeal mask 4 and stretches, and the space 4-3 in annulus 4-1 internal diameter is passed by the edge of annulus 4-1, stretches out laryngeal mask 4 backs and is being provided with spherical cover capsule 3 near the tip place.First conduit 5 and second conduit 9 are respectively equipped with a standard interface 1 that can be connected with respirator away from of laryngeal mask 4, are provided with spacer block 8 separately at interface 1 place that is near the mark between the two, form " Y " shape structure, and two standard interfaces 1 are separated slightly.
Referring to Fig. 1, two gas tubes 10 are set up along second conduit 9, and are communicated with the annulus 4-1 and the spherical cover capsule 3 of laryngeal mask 4 respectively, go here and there successively respectively away from the other end of laryngeal mask 4 and establish a ballonet 7 and the check valve 11 that can dock with syringe.
Referring to Fig. 4, but the selection scheme of set ballonet 7 of a kind of alternative gas tube 10 heads and check valve 11 is, two gas tubes 10 are being established a hand-pinch type inflator pump 12 respectively away from the other end of laryngeal mask 4, and the structure of this hand-pinch type inflator pump 12 is identical with used hand-pinch type inflator pump on the common sphygomanometer.
Referring to Fig. 3, gag 2 is one section and is the fairshaped body of shark head, be provided with the passage 2-1 that can free in and out after laryngeal mask 4 loses heart in it, its outer middle part is provided with crowd limit 2-2, this group limit 2-2 goes up and is respectively equipped with a side opening 2-3 in the both sides that are the fairshaped body of shark head, and the upper lip of its oral area extends to form the ligule guided plate 2-4 that coincide with last volume forward.
Below in conjunction with Brief Description Of Drawings using method of the present utility model and operation principle.
Referring to Fig. 5 or Fig. 6 and in conjunction with Fig. 1, during use, making lies in a comatose condition needs the patient of first aid to be in dorsal position, hand-held gag 2 is opened the tooth that closes, when entering oral cavity and the group limit 2-2 on it, gag 2 is close to the tooth when outside, hold first conduit 5 and second conduit 9 of being convenient to the free-hand trachea assigned with multi-functional apparatus 6 described in the utility model, make be located at the sphere cover capsule 3 that loses heart on second conduit 9 and be located at the laryngeal mask 4 that loses heart on first conduit 5 successively the passage 2-1 in gag 2 enter patient 13 oral cavity along ligule guided plate 2-4.When entering when reaching desired depth, the annulus 4-1 that promptly available syringe overlaps sphere respectively on capsule 3 and the laryngeal mask 4 is full.And then observe which root and lead the air-flow that the patient pants, immediately respirator with being arranged, the pant conduit of air-flow of patient is docked then, another conduit is docked with sputum aspirator, group limit 2-2 from gag 2 upward wears frenulum in the set two side holes 2-3 at last, whole apparatus binding is fixed on patient head, promptly finishes the first aid process of whole intubate oxygen supply.When the patient revives and can freely breathe, it is the check valve pumpback that available syringe tip compresses gas tube 10 heads, or it is exitted naturally with the check valve that spicule props up gas tube 10 heads, with the air emptying in the annulus 4-1 on described spherical cover capsule 3 and the laryngeal mask 4, take out the whole free-hand trachea of the assigning multi-functional apparatus 6 of being convenient to described in the utility model.
Referring to Fig. 5 or Fig. 6, the trachea 13-1 no matter second conduit 9 inserts patient 13 still is esophagus 13-2.The set sphere of its head is overlapped capsule 3 all can be isolated with trachea 13-1 and esophagus 13-2, realizes setting up reliable airway simultaneously and prevent the anti-first aid of flowing the suction of thing mistake of gastric.

Claims (6)

1. be convenient to the free-hand trachea multi-functional apparatus of assigning for one kind, it is characterized in that, this apparatus comprises first conduit (5) and second conduit (9), wherein, one of first conduit (5) is provided with the standard interface (1) that can be connected with respirator, and the head of other end forms the laryngeal mask (4) of half Semen Persicae shape when being provided with annulus (4-1) inflation; Second conduit (9) continues to extend and upward passes at the edge of annulus (4-1) through described laryngeal mask (4), is being provided with spherical cover capsule (3) near the tip place; Two gas tubes (10) are communicated with the annulus (4-1) and the spherical cover capsule (3) of laryngeal mask (4) respectively.
2. a kind of free-hand trachea multi-functional apparatus of assigning of being convenient to according to claim 1, it is characterized in that, this apparatus also comprises a gag (2), this gag (2) is one section and is the fairshaped body of shark head, be provided with the passage (2-1) that can free in and out after described laryngeal mask (4) loses heart in it, its outer middle part is provided with group limit (2-2), and the upper lip of its oral area extends to form the ligule guided plate (2-4) that coincide with last volume forward.
3. a kind of free-hand trachea multi-functional apparatus of assigning of being convenient to according to claim 2 is characterized in that described group limit (2-2) upward is respectively equipped with a side opening (2-3) in the both sides that are the fairshaped body of shark head.
4. according to the described a kind of free-hand trachea multi-functional apparatus of assigning of being convenient to of one of claim 1~3, it is characterized in that the overhanging end of described two gas tubes (10) is established a check valve (11) that can cooperate with syringe respectively.
5. according to the described a kind of free-hand trachea multi-functional apparatus of assigning of being convenient to of one of claim 1~3, it is characterized in that the overhanging end of described two gas tubes (10) is established a hand-pinch type inflator pump respectively,
6. a kind of free-hand trachea multi-functional apparatus of assigning of being convenient to according to claim 4 is characterized in that string is established a ballonet (7) between described check valve (11) and the gas tube.
CN2009202364825U 2009-09-28 2009-09-28 Multifunctional machine for air tube with convenient freehand insertion Expired - Fee Related CN201519351U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2009202364825U CN201519351U (en) 2009-09-28 2009-09-28 Multifunctional machine for air tube with convenient freehand insertion

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2009202364825U CN201519351U (en) 2009-09-28 2009-09-28 Multifunctional machine for air tube with convenient freehand insertion

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014127548A1 (en) * 2013-02-25 2014-08-28 Xiao Jinfang Combined ventilation apparatus with laryngeal mask of completely inbuilt gas tube catheter type
CN105343975A (en) * 2015-12-04 2016-02-24 孙扬 Tracheal intubation device with no laryngoscope

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014127548A1 (en) * 2013-02-25 2014-08-28 Xiao Jinfang Combined ventilation apparatus with laryngeal mask of completely inbuilt gas tube catheter type
CN105343975A (en) * 2015-12-04 2016-02-24 孙扬 Tracheal intubation device with no laryngoscope
CN105343975B (en) * 2015-12-04 2017-09-19 孙扬 A kind of tracheal inserting device without laryngoscope

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C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20100707

Termination date: 20120928